Health Plan of Southern Illinois, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HEALTH PLAN OF SOUTHERN ILLINOIS, INC.

Doing business as

Marion Rural Health Clinic

Practice address

1028 N Market St
Marion, IL 62959-2220

Phone

(618) 993-8913

Fax

(618) 997-2867

NPI assigned

Oct 13, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Durham, M.D.

Title

Medical Director

Phone

(618) 439-3706

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marion Rural Health Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1083602973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N MARKET ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629592220",
            "telephone_number": "618-993-8913",
            "fax_number": "618-997-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N MARKET ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629592220",
            "telephone_number": "618-993-8913",
            "fax_number": "618-997-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PLAN OF SOUTHERN ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "618-439-3706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2815503",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret L. J. Hayes, M.D.
• Wendy Haynes
• Jessica Hays
• Jennifer Lynn Hazel
• Health Heroes of Illinois, Inc.
• Healthdirect Institutional Pharmacy Services, Inc.
• Heartland Balance and Hearing Center SC
• Heartland Pediatric Clinic
• Heartland Rural Healthcare, LLC
• Heartland Rural Healthcare, LLC

• Rural Health Clinic/Center in Marion, IL
• Providers in Marion, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.